Home / Sources / NHS Staff Survey
Source · Workforce

NHS Staff Survey

6.7/10 mean trust engagement (2025) 238 trust records (2025) 28.7% mean trust bullying percentage (2025) +0.27 YoY engagement change

Annual survey results covering staff engagement, morale, and wellbeing across NHS trusts in England. Published by NHS England and Picker Institute.

The summary describes the full collection in 2025. Averages below give each available trust result equal weight; they are not weighted by staff numbers or response rates. Compare like trust types and years, and check the original survey methodology. A dash means a value is not indexed.

Highest & lowest 10 — engagement (2025)

Long names are shortened on the chart. The table below gives each trust's full name and score.

Read highest and lowest scores
Highest and lowest indexed engagement scores, 2025. These are survey scores, not an overall performance ranking.
GroupTrustEngagement /10
Highest 10NAViGO Health and Social Care CIC8.06
Highest 10Liverpool Heart and Chest Hospital NHS Foundation Trust7.54
Highest 10First Community Health and Care7.48
Highest 10Berkshire Healthcare NHS Foundation Trust7.48
Highest 10Independent Health Group7.46
Highest 10The Christie NHS Foundation Trust7.44
Highest 10The Royal Marsden NHS Foundation Trust7.40
Highest 10Cambridgeshire Community Services NHS Trust7.36
Highest 10University College London Hospitals NHS Foundation Trust7.36
Highest 10Royal National Orthopaedic Hospital NHS Trust7.36
Lowest 10West Midlands Ambulance Service University NHS Foundation Trust5.49
Lowest 10South Central Ambulance Service NHS Foundation Trust5.60
Lowest 10East of England Ambulance Service NHS Trust5.63
Lowest 10NHS Cheshire and Merseyside ICB5.69
Lowest 10South Western Ambulance Service NHS Foundation Trust5.74
Lowest 10NHS Devon ICB5.74
Lowest 10NHS Humber and North Yorkshire ICB5.76
Lowest 10East Midlands Ambulance Service NHS Trust5.90
Lowest 10NHS Lancashire and South Cumbria ICB5.90
Lowest 10Mid and South Essex NHS Foundation Trust5.92

By trust type (2025)

Average engagement per trust class
Read results by trust type
Mean engagement by trust type, 2025
Trust typeMean engagement /10Trust records
Acute Specialist Trusts7.1813
Community Trusts7.0521
MH&LD, MH, LD&Community Trusts6.9949
Acute&Acute Community Trusts6.73121
ICBs6.2523
Ambulance Trusts5.8811

Trust results

Showing 1227 records

Scroll across to read every measure. Trend lines show engagement across the trust's indexed years on a scale local to each trust; compare the numeric scores for magnitude.

Trust sparklines show all available annual engagement scores for the same ODS code, regardless of the selected survey year. Scores run from 0 to 10; years without a recorded score are omitted.

Trust survey results · newest year first, then trust name
Year Trust Type Engagement Trend Experienced bullying Feel safe raising concerns Recommend as workplace Response rate
2021 Birmingham Women's and Children's NHS Foundation Trust
RQ3
Read the chart values
Birmingham Women's and Children's NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.87
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 Black Country Healthcare NHS Foundation Trust
TAJ
Read the chart values
Black Country Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.95
20226.95
20236.83
20246.58
20256.58
MH&LD, MH, LD&Community Trusts 6.95/10 28.6% 0.0% 20.8% 54%
2021 Blackpool Teaching Hospitals NHS Foundation Trust
RXL
Read the chart values
Blackpool Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.37
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 Bolton NHS Foundation Trust
RMC
Read the chart values
Bolton NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.12
20226.98
20236.92
20246.91
20256.49
Acute&Acute Community Trusts 7.12/10 29.9% 0.0% 25.1% 39%
2021 Bradford District Care NHS Foundation Trust
TAD
Read the chart values
Bradford District Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.07
20227.08
20237.02
20247.08
20257.06
MH&LD, MH, LD&Community Trusts 7.07/10 30.5% 0.0% 19.1% 45%
2021 Bradford Teaching Hospitals NHS Foundation Trust
RAE
Read the chart values
Bradford Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.8
20226.9
20237.02
20246.95
20256.95
Acute&Acute Community Trusts 6.80/10 34.1% 0.0% 34.3% 47%
2021 Bridgewater Community Healthcare NHS Foundation Trust
RY2
Read the chart values
Bridgewater Community Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.17
20227.18
20237.3
20247.21
20256.56
Community Trusts 7.17/10 29.6% 0.0% 28.3% 50%
2021 Bromley Healthcare CIC
NQV
Read the chart values
Bromley Healthcare CIC · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20257.23
Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 Buckinghamshire Healthcare NHS Trust
RXQ
Read the chart values
Buckinghamshire Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.89
20226.98
20237.04
20247.03
20257.0
Acute&Acute Community Trusts 6.89/10 32.6% 0.0% 26.8% 57%
2021 Calderdale and Huddersfield NHS Foundation Trust
RWY
Read the chart values
Calderdale and Huddersfield NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.72
20226.8
20236.96
20246.84
20256.92
Acute&Acute Community Trusts 6.72/10 33.9% 0.0% 35.9% 48%
2021 Cambridgeshire and Peterborough NHS Foundation Trust
RT1
Read the chart values
Cambridgeshire and Peterborough NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.87
20237.04
20246.94
20256.88
MH&LD, MH, LD&Community Trusts 6.91/10 28.9% 0.0% 20.7% 49%
2021 Cambridgeshire Community Services NHS Trust
RYV
Read the chart values
Cambridgeshire Community Services NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.3
20227.35
20237.4
20247.4
20257.36
Community Trusts 7.30/10 26.0% 0.0% 18.8% 53%
2021 Cambridge University Hospitals NHS Foundation Trust
RGT
Read the chart values
Cambridge University Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.82
20236.91
20247.02
20256.9
Acute&Acute Community Trusts 7.00/10 32.5% 0.0% 27.9% 58%
2021 Central and North West London NHS Foundation Trust
RV3
Read the chart values
Central and North West London NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.17
20227.08
20237.24
20247.13
20257.13
MH&LD, MH, LD&Community Trusts 7.17/10 28.1% 0.0% 28.1% 50%
2021 Central London Community Healthcare NHS Trust
RYX
Read the chart values
Central London Community Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.18
20227.22
20237.25
20247.28
20257.18
Community Trusts 7.18/10 28.5% 0.0% 23.9% 52%
2021 Chelsea and Westminster Hospital NHS Foundation Trust
RQM
Read the chart values
Chelsea and Westminster Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.96
20237.13
20247.17
20257.12
Acute&Acute Community Trusts 7.00/10 33.8% 0.0% 36.7% 47%
2021 Cheshire and Wirral Partnership NHS Foundation Trust
RXA
Read the chart values
Cheshire and Wirral Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.03
20227.15
20237.24
20247.17
20257.04
MH&LD, MH, LD&Community Trusts 7.03/10 27.1% 0.0% 18.9% 50%
2021 Chesterfield Royal Hospital NHS Foundation Trust
RFS
Read the chart values
Chesterfield Royal Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.16
20227.1
20237.21
20247.0
20256.8
Acute&Acute Community Trusts 7.16/10 28.6% 0.0% 30.8% 61%
2021 Cornwall Partnership NHS Foundation Trust
RJ8
Read the chart values
Cornwall Partnership NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.7
20226.93
20237.09
20246.95
20256.94
MH&LD, MH, LD&Community Trusts 6.70/10 32.6% 0.0% 27.3% 40%
2021 Countess of Chester Hospital NHS Foundation Trust
RJR
Read the chart values
Countess of Chester Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.4
20226.35
20236.43
20246.48
20256.27
Acute&Acute Community Trusts 6.40/10 34.6% 0.0% 32.6% 38%
2021 County Durham and Darlington NHS Foundation Trust
RXP
Read the chart values
County Durham and Darlington NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.64
20226.52
20236.74
20246.7
20256.51
Acute&Acute Community Trusts 6.64/10 34.7% 0.0% 31.2% 53%
2021 Coventry and Warwickshire Partnership NHS Trust
RYG
Read the chart values
Coventry and Warwickshire Partnership NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.99
20226.9
20236.94
20246.91
20256.78
MH&LD, MH, LD&Community Trusts 6.99/10 27.9% 0.0% 22.8% 42%
2021 Croydon Health Services NHS Trust
RJ6
Read the chart values
Croydon Health Services NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.92
20236.95
20246.87
20256.81
Acute&Acute Community Trusts 6.91/10 32.7% 0.0% 37.2% 45%
2021 CSH Surrey
NTV
Read the chart values
CSH Surrey · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.85
Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
RX4
Read the chart values
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.11
20227.19
20237.09
20246.98
20256.84
MH&LD, MH, LD&Community Trusts 7.11/10 25.9% 0.0% 18.0% 45%
2021 Dartford and Gravesham NHS Trust
RN7
Read the chart values
Dartford and Gravesham NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.0
20226.84
20236.91
20246.8
20256.83
Acute&Acute Community Trusts 7.00/10 30.5% 0.0% 32.7% 43%
2021 Derbyshire Community Health Services NHS Foundation Trust
RY8
Read the chart values
Derbyshire Community Health Services NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.33
20227.38
20237.36
20247.28
20257.09
Community Trusts 7.33/10 27.6% 0.0% 20.8% 62%
2021 Derbyshire Healthcare NHS Foundation Trust
RXM
Read the chart values
Derbyshire Healthcare NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.31
20227.18
20237.23
20247.07
20257.02
MH&LD, MH, LD&Community Trusts 7.31/10 25.0% 0.0% 17.2% 62%
2021 Devon Partnership NHS Trust
RWV
Read the chart values
Devon Partnership NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.95
20237.0
20246.95
20256.81
MH&LD, MH, LD&Community Trusts 6.91/10 26.4% 0.0% 12.7% 60%
2021 Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
RP5
Read the chart values
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.74
20226.76
20236.94
20246.74
20256.69
Acute&Acute Community Trusts 6.74/10 30.9% 0.0% 36.3% 63%
2021 Dorset County Hospital NHS Foundation Trust
RBD
Read the chart values
Dorset County Hospital NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.11
20226.95
20237.07
20247.03
20256.92
Acute&Acute Community Trusts 7.11/10 30.5% 0.0% 27.8% 47%
2021 Dorset Healthcare University NHS Foundation Trust
RDY
Read the chart values
Dorset Healthcare University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.2
20227.14
20237.23
20247.19
20257.11
MH&LD, MH, LD&Community Trusts 7.20/10 25.4% 0.0% 21.6% 59%
2021 East and North Hertfordshire Teaching NHS Trust
RWH
Read the chart values
East and North Hertfordshire Teaching NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.83
20226.71
20236.8
20246.9
20256.83
Acute&Acute Community Trusts 6.83/10 30.5% 0.0% 38.2% 42%
2021 East Cheshire NHS Trust
RJN
Read the chart values
East Cheshire NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.88
20226.89
20236.91
20246.93
20256.83
Acute&Acute Community Trusts 6.88/10 28.2% 0.0% 26.7% 42%
2021 East Coast Community Healthcare CIC
NAX
Read the chart values
East Coast Community Healthcare CIC · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20227.2
20237.13
20247.07
20257.32
Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 East Kent Hospitals University NHS Foundation Trust
RVV
Read the chart values
East Kent Hospitals University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.42
20226.36
20236.34
20246.35
20256.22
Acute&Acute Community Trusts 6.42/10 35.2% 0.0% 37.3% 52%
2021 East Lancashire Hospitals NHS Trust
RXR
Read the chart values
East Lancashire Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20256.32
Acute&Acute Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 East London NHS Foundation Trust
RWK
Read the chart values
East London NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20237.34
20247.04
20257.1
MH&LD, MH, LD&Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 East Midlands Ambulance Service NHS Trust
RX9
Read the chart values
East Midlands Ambulance Service NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.15
20225.97
20236.14
20246.15
20255.9
Ambulance Trusts 6.15/10 37.2% 0.0% 40.6% 57%
2021 East of England Ambulance Service NHS Trust
RYC
Read the chart values
East of England Ambulance Service NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20215.27
20225.41
20235.73
20245.79
20255.63
Ambulance Trusts 5.27/10 44.6% 0.0% 48.6% 48%
2021 East Suffolk and North Essex NHS Foundation Trust
RDE
Read the chart values
East Suffolk and North Essex NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.68
20226.64
20236.85
20246.8
20256.58
Acute&Acute Community Trusts 6.68/10 32.3% 0.0% 31.0% 45%
2021 East Sussex Healthcare NHS Trust
RXC
Read the chart values
East Sussex Healthcare NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.86
20226.68
20236.8
20246.7
20256.67
Acute&Acute Community Trusts 6.86/10 31.9% 0.0% 29.6% 48%
2021 Epsom and St Helier University Hospitals NHS Trust
RVR
Read the chart values
Epsom and St Helier University Hospitals NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.84
20226.8
20236.92
20246.93
20256.81
Acute&Acute Community Trusts 6.84/10 31.8% 0.0% 32.1% 60%
2021 Essex Partnership University NHS Foundation Trust
R1L
Read the chart values
Essex Partnership University NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.09
20227.04
20237.18
20246.98
20257.02
MH&LD, MH, LD&Community Trusts 7.09/10 27.3% 0.0% 22.3% 47%
2021 First Community Health and Care
NDJ
Read the chart values
First Community Health and Care · annual staff engagement score out of 10
Survey yearEngagement /10
20210.0
20220.0
20230.0
20240.0
20257.48
Community Trusts 0.00/10 0.0% 0.0% 0.0% 0%
2021 Frimley Health NHS Foundation Trust
RDU
Read the chart values
Frimley Health NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.05
20226.85
20237.08
20247.1
20257.13
Acute&Acute Community Trusts 7.05/10 30.3% 0.0% 36.3% 56%
2021 Gateshead Health NHS Foundation Trust
RR7
Read the chart values
Gateshead Health NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.91
20226.95
20237.01
20246.84
20256.46
Acute&Acute Community Trusts 6.91/10 29.5% 0.0% 32.9% 47%
2021 George Eliot Hospital NHS Trust
RLT
Read the chart values
George Eliot Hospital NHS Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.84
20226.72
20236.93
20247.04
20256.95
Acute&Acute Community Trusts 6.84/10 33.8% 0.0% 41.0% 30%
2021 Gloucestershire Health and Care NHS Foundation Trust
RTQ
Read the chart values
Gloucestershire Health and Care NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20217.19
20227.19
20237.27
20247.18
20257.12
MH&LD, MH, LD&Community Trusts 7.19/10 26.7% 0.0% 20.5% 53%
2021 Gloucestershire Hospitals NHS Foundation Trust
RTE
Read the chart values
Gloucestershire Hospitals NHS Foundation Trust · annual staff engagement score out of 10
Survey yearEngagement /10
20216.6
20226.31
20236.44
20246.53
20256.43
Acute&Acute Community Trusts 6.60/10 34.0% 0.0% 39.0% 50%

Source: NHS Staff Survey — Published annually by NHS England and Picker Institute Europe.